Estela Dental Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN12654 Issued in FL

Legal business name

ESTELA DENTAL INC.

Practice address

6336 Forest Hill Blvd
Greenacres, FL 33415-6104

Phone

(561) 642-1177

Fax

(561) 642-1143

NPI assigned

Feb 16, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Hildebrando Barreto, DDS

Title

Dentist

Phone

(561) 642-1177

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1861765141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6336 FOREST HILL BLVD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334156104",
            "telephone_number": "561-642-1177",
            "fax_number": "561-642-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6336 FOREST HILL BLVD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334156104",
            "telephone_number": "561-642-1177",
            "fax_number": "561-642-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTELA DENTAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "BARRETO",
        "authorized_official_first_name": "HILDEBRANDO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "561-642-1177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN12654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075325400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Berline Estinoble, MD
• Iyoleivys Estrada Napoles
• Kettlie Eugene

• General Practice Dentistry in Greenacres, FL
• Providers in Greenacres, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.